What treatment sequence do you follow for patients with rectal cancer who are candidates for both PROSPECT and TNT/Watch and wait?
Answer from: Medical Oncologist at Community Practice
Thanks for this question. I am not sure whether this is up to us. This is up to our patients to choose which modality they would like to omit (radiation vs surgery). I would point out that a good quality MRI rectal should be performed to r/o any T4/N2 disease or potential requirement APR. Otherwise,...
Answer from: Medical Oncologist at Community Practice
I mostly use TNT followed by selective surgery per OPRA. Patients with locally advanced rectal cancer (stage II and III) are eligible regardless of tumor location in the rectum.With regards to PROSPECT, T4 and/or N2 tumors were excluded. The tumor had to be 5-12 cm from the dentate line (lower recta...